Inhibition of the beta3 subunit of l-type ca2+ channels

ABSTRACT

The present invention provides reagents and methods for identifying inhibitors of the L-type Ca 2+  channel β 3  protein, which has been demonstrated to be involved in calcium signaling, insulin secretion, and glucose homeostasis. The invention also provides therapeutics and methods for treating a subject with one or more of diabetes, insulin resistance, impaired insulin secretion, and impaired glucose homeostasis, involving the use of inhibitors of an L-type Ca 2+  channel β 3  subunit to provide a benefit to the subject.

CROSS REFERENCE

This application is a continuation of U.S. patent application Ser. No.13/762,995, filed Feb. 8, 2013, which is a continuation of Ser. No.13/189,205, filed Jul. 22, 2011, which is a Divisional of U.S. Ser. No.11/510,105, filed Aug. 25, 2006 now U.S. Pat. No. 8,021,853, issued Sep.20, 2011, which is continuation of Ser. No. 10/392,810, filed Mar. 19,2003 which claims priority to U.S. Provisional Application Ser. No.60/442,142 filed Jan. 22, 2003 and to U.S. Provisional ApplicationSerial No. 60/366,152 filed Mar. 20, 2002.

FIELD OF THE INVENTION

This invention relates to molecular biology, cell biology, voltage gatedcalcium channels, calcium signaling, drug discovery, diabetes, insulinresistance, impaired insulin secretion, and impaired glucosehomeostasis.

BACKGROUND

Diabetes mellitus (DM) comprises a series of disorders, allcharacterized by hyperglycemia. Type I (“insulin dependent”) DM ischaracterized by insulin deficiency, whereas Type II (“non-insulindependent” or “adult-onset”) DM is characterized by insulin resistance,impaired insulin secretion, and increased hepatic glucose production.Chronic complications of DM result from hyperglycemia and includeretinopathy, neuropathy, nephropathy, and cardiovascular disease.

In the pancreatic β-cell, membrane depolarization and an oscillatoryincrease in [Ca^(2|)]_(i) are key features in glucose-induced insulinsecretion. The oscillatory increase in [Ca²⁺]_(i) is regulated by asophisticated interplay between nutrients, hormones andneurotransmitters and is due to both Ca²⁺ influx through voltage-gatedL-type Ca²⁺ channels and Ca²⁺ mobilization from intracellular storessuch as the endoplasmic reticulum (ER) (Berggren & Larsson 1994,Biochem. Soc. Transact. 22:12-18). Upon metabolism of glucose within theβ-cell, ATP is formed, which in turn closes specific ATP-regulated K⁺channels, triggering depolarization of the plasma membrane. Suchdepolarization leads to an opening of voltage-gated L-type Ca²⁺channels, Ca²⁺ influx, an increase in [Ca²⁺]_(i,) and subsequentlyinsulin release. The opening of the voltage-gated L-type Ca²⁺ channelsthus occurs at glucose concentration levels that stimulate pancreaticbeta cells to secrete insulin.

L-type Ca²⁺ channels are multi-subunit proteins, consisting of acombination of α, β, and γ subunits, where each type of subunit existsin multiple forms. While the α₁ subunit forms the pore of the L-typeCa²⁺ channel, the β subunits are believed to play a key role in theassembly/expression of the channel complex, and to modulate Ca²⁺currents through the β₁ subunits (Singer et al. 1991, Science253:1553-1557; Hullin et al. 1992, EMBO J. 11:885-890; Tareilus et al.1997, Proc. Natl. Acad. Sci. USA 94:1703-1708). To date the role of Ca²⁻channel β subunits in insulin secretion has mainly been studied byheterologous expression experiments (Ihara et al. 1995, Mol. Endocrinol.9:121-130). Pancreatic β-cells express both β₂ and β₃ subunits.

Intracellular stores such as the ER are able to modulatedepolarization-induced Ca²⁺ signaling by sequestering some of the Ca²⁺entering through the voltage-gated L-type Ca²⁺ channels intointracellular calcium stores, or by releasing additional Ca²⁺ into thecytoplasm. Such Ca²⁺ release may occur through Ca²⁺ mediated activationof phosphatidylinositol-specific phospholipase C (PI-PLC) and formationof inositol 1,4,5-trisphosphate (Ins(1,4,5)P₃) or through direct gatingof the intracellular Ca²⁺ channels by the incoming Ca²⁺.

Most efforts to develop drugs to promote insulin secretion, treatinsulin resistance, and increase the efficiency of glucose homeostasishave targeted the ATP-regulated K⁺ channels. However, such drugs oftenact regardless of the blood glucose concentration, and thus can lead toserious side effects, such as hypoglycemia. Therefore, there is a needin the art to identify targets for therapeutics that do not suffer fromthese drawbacks.

SUMMARY OF THE INVENTION

In one aspect, the present invention provides non-human transgenicanimals having a disruption in the L-type Ca²⁺ channel β₃ gene thatinhibits expression of active L-type Ca²⁺ channel β₃ protein, andmethods for making such transgenic animals. In a further aspect, thepresent invention provides isolated nucleic acid sequences and vectorsfor creating such transgenic animals.

In another aspect, the present invention provides recombinant host cellsthat have been transfected with a recombinant expression vectorcomprising nucleic acid control sequences operatively linked to anL-type Ca²⁺ channel β₃ gene, wherein the host cell does not possessfunctional L-type Ca²⁺ channels.

In another aspect, the present invention provides methods foridentifying inhibitors of the L-type Ca^(2|) channel β₃ protein,comprising providing the recombinant host cells of the invention,contacting the recombinant host cells with a calcium indicator thatemits detectable signals in the presence of calcium, treating therecombinant cells with one or more test compounds, wherein the treatingoccurs before, simultaneous with, or after the contacting of therecombinant host cells with the calcium indicator, stimulating therecombinant host cells with an amount of ATP that is effective toincrease intracellular calcium concentration in control cells, anddetecting the signals from the calcium indicator in the recombinant hostcells, wherein a test compound-induced increase in the signals from thecalcium indicator in the recombinant host cells indicates that the testcompound is an inhibitor of the L-type Ca²⁺ channel β₃ protein.

In a further aspect, the present invention provides methods for treatinga subject with one or more disorders selected from the group consistingof diabetes, insulin resistance, impaired insulin secretion, andimpaired glucose homeostasis, comprising administering to the subjectone or more inhibitors of an L-type Ca^(2|) channel β₃ subunit toprovide a benefit to the subject.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1A) depicts the organization of the β₃ gene and B) the targetingvector (IIMB) used to generate a knockout of the β₃ gene. Exons arerepresented by filled boxes and introns by lines. The structure of thehomologous recombination product is shown in C). Abbreviations: E,EcoRI; H, HincII; P, probe; tk, herpes simplex virus thymidin kinasegene.

FIG. 2A) depicts the results of the intraperitoneal glucose tolerancetest and B) oral glucose tolerance test in wild type (∘) and β₃ ^(−/−)() mice.

DETAILED DESCRIPTION OF THE INVENTION

The present invention fulfills a need in the art by identifying the β₃subunit of voltage-gated L-type Ca²⁺ channel as a target for drugs totreat diabetes, insulin resistance, impaired insulin secretion, andimpaired glucose homeostasis. The inventors have discovered thatinhibition of the β₃ subunit of voltage-gated L-type Ca²⁺ channel(hereinafter referred to as the “L-type Ca² channel β₃ protein” or the“L-type Ca^(2|) channel β₃ subunit”) leads to increased secretion ofinsulin only at stimulatory glucose concentrations (i.e.: blood levelsof glucose that are increased above normal levels, that is above about100 mg/dL).

Therefore, inhibitors of the L-type Ca²⁺ channel β₃ protein are muchless likely to lead to hypoglycemia or other serious side effects thanare currently available treatments for diabetes, insulin resistance,impaired insulin secretion, and impaired glucose homeostasis.

In one aspect, the invention provides a non-human transgenic animalhaving a disruption (i.e., “knockout”) in the L-type Ca²⁺ channel β₃gene that inhibits expression of active L-type Ca²⁺ channel β₃ proteinwherein the non-human animal is characterized, relative to a wild typeanimal, by one or more characteristic selected from the group consistingof (a) an increase in calcium release from intracellular calcium stores,(b) increased insulin release at stimulatory concentrations of glucose,but not at basal glucose levels, and (c) more efficient glucose removalfrom blood.

The transgenic animals of the invention are useful for the determinationof the function of the L-type Ca²⁺ channel β₃ protein, as a source ofspecific cell types (for example, pancreatic β-cells) in whichexpression of the L-type Ca^(2|) channel β₃ protein is knocked out, andfor use in verifying that a candidate compound is acting as an inhibitorof the L-type Ca²⁺ channel β₃ protein (discussed below).

By “increased insulin release at stimulatory concentrations of glucose,but not at basal glucose levels” it is meant that the transgenic animalsof the invention will secrete more insulin than wild type animals whenthe blood glucose concentration rises to a stimulatory level, but notwhen the blood glucose concentration is at a basal level. By “moreefficient glucose removal from blood” it is meant that in response to anoral or intraperitoneal glucose tolerance test, the transgenic animalsof the invention will remove glucose from the bloodstream at a moreefficient rate than wild type animals.

As used herein, the term “transgenic animal” refers to a non-humananimal, (e.g., single-celled organism (e.g., yeast), mammal, ornon-mammal (e.g., nematode or Drosophila)), having a non-endogenous(i.e., heterologous) nucleic acid sequence present as anextra-chromosomal element in a portion of its cells or stably integratedinto its germ line DNA (i.e., in the genomic sequence of most or all ofits cells), as well as the progeny of such animals. In a preferredembodiment, the transgenic animal is a mammal, and the heterologousnucleic acid sequence is stably integrated. In a more preferredembodiment, the transgenic animal is a rodent. The terms “rodent” and“rodents” refer to all members of the phylogenetic order Rodentia(including rats and mice), including any and all progeny of all futuregenerations derived therefrom.

In a most preferred embodiment, the transgenic animal is a transgenicmouse with either a heterozygous or homozygous disruption in the L-typeCa²⁺ channel β₃ gene. In a preferred embodiment, the transgenic micehave a homozygous disruption in the L-type Ca²⁺ channel β₃ gene. In amost preferred embodiment, the transgenic mice of the invention have ahomozygous disruption that results in a null mutation of the endogenousL-type Ca²⁺ channel β₃ gene.

As used in this aspect of the invention, the “L-type Ca²⁻ channel β₃gene” and “L-type Ca²⁺ channel β₃ protein” can be from any non-humananimal for which an L-type Ca²⁺ channel β₃ knockout is desired. In apreferred embodiment, the L-type Ca²⁺ channel β₃ gene is from mouse orrat. In a most preferred embodiment, the mouse L-type Ca²⁺ channel β₃gene ([SEQ ID NO:1], GenBank accession number U20372) is the target tobe “knocked out.” In another most preferred embodiment, the rat L-typeCa²⁺ channel β₃ gene ([SEQ ID NO:3], GenBank accession number M88751) isthe target to be “knocked out.”

As used herein, a “knockout” of an L-type Ca²⁺ channel β₃ gene refers topartial or complete reduction of the expression of at least a portion ofthe polypeptide encoded by an endogenous L-type Ca²⁺ channel β₃ gene ofa single cell, selected cells, or all of the cells of the animal.“Knockout” transgenics of the invention can be transgenic animals havinga “heterozygous knockout,” wherein one allele of the endogenous L-typeCa²⁺ channel β₃ gene has been disrupted, or a homozygous knockout,wherein both alleles of the endogenous L-type Ca^(2|) channel β₃ genehave been disrupted. “Knockouts” also include conditional knockouts,where alteration of the target gene can occur upon, for example,exposure of the animal to a substance that promotes target genedisruption, introduction of an enzyme that promotes recombination at thetarget gene site (e.g., Cre in the Cre-lox system), or any other methodfor disrupting the target gene alteration post-natally.

The term “progeny” refers to any and all future generations derived ordescending from the transgenic animal, whether the transgenic animal isheterozygous or homozygous for the knockout construct. Progeny of anysuccessive generation are included herein such that the progeny, the F1,F2, and F3 generations, and so on indefinitely, containing the knockoutconstruct are included in this definition.

In a further aspect, the present invention provides isolated pancreaticislets and pancreatic β-cells that are isolated from the transgenicanimals of the invention. Such isolated pancreatic beta cells possess adisruption in the L-type Ca²⁺ channel β₃ gene, and thus are useful as amodel of the L-type Ca²⁺ channel β₃ gene knockout within a specific celltype in which the L-type Ca²⁺ channel β₃ gene is normally active.

Methods for isolating pancreatic islets and β-cells are known in theart. See, for example, U.S. Pat. No. 6,361,995 and Rosati et al. 2000,FASEB J 14:2601-10.

In a further aspect, the present invention provides an isolated nucleicacid sequence comprising an L-type Ca²⁺ channel β₃ gene knockoutconstruct, which comprises a selectable marker sequence flanked by DNAsequences homologous to the endogenous L-type Ca²⁺ channel β₃ gene. In apreferred embodiment, the L-type Ca²⁺ channel β₃ gene is from mouse orrat. In a most preferred embodiment, the mouse L-type Ca²⁺ channel β₃gene ([SEQ ID NO:1], GenBank accession number U20372) is the target tobe “knocked out”. In another most preferred embodiment, the rat L-typeCa²⁺ channel 133 gene ([SEQ ID NO:3], GenBank accession number M88751)is the target to be “knocked out.”

The term “knockout construct” refers to a nucleotide sequence that isdesigned to decrease or suppress expression of a polypeptide encoded byan endogenous L-type Ca²⁺ channel β₃ gene in one or more cells of ananimal. The nucleotide sequence used as the knockout construct iscomprised of (1) DNA from some portion of the endogenous L-type Ca²⁺channel β₃ gene (one or more exon sequences, intron sequences, and/orpromoter sequences) to be suppressed and (2) a selectable markersequence used to detect the presence of the knockout construct in thecell. The knockout construct is inserted into a cell containing theendogenous L-type Ca²⁺ channel β₃ gene to be knocked out. The knockoutconstruct can then integrate within one or both alleles of theendogenous L-type Ca²⁺ channel β₃ gene, and such integration of theL-type Ca²⁺ channel β₃ gene knockout construct can prevent or interrupttranscription of the full-length endogenous L-type Ca²⁺ channel β₃ gene.Integration of the L-type Ca²⁺ channel β₃ gene knockout construct intothe cellular chromosomal DNA is typically accomplished via homologousrecombination (i.e., regions of the L-type Ca²⁺ channel β₃ gene knockoutconstruct that are homologous or complimentary to endogenous L-type Ca²⁺channel β₃ gene DNA sequences can hybridize to each other when theknockout construct is inserted into the cell; these regions can thenrecombine so that the knockout construct is incorporated into thecorresponding position of the endogenous DNA).

Typically, the knockout construct is inserted into an undifferentiatedcell termed an embryonic stem cell (ES cell). ES cells are usuallyderived from an embryo or blastocyst of the same species as thedeveloping embryo into which it can be introduced, as discussed below.In a more preferred embodiment, the knockout constructs are placed intoa rodent ES cell line, most preferably a mouse ES cell line, such asmouse R1 ES cells.

By way of example, a nucleotide sequence knockout construct can beprepared by inserting a nucleotide sequence comprising an antibioticresistance gene into a portion of an isolated nucleotide sequencecomprising an L-type Ca²⁺ channel β₃ gene that is to be disrupted. Whenthis knockout construct is then inserted into ES cells, the constructcan integrate into the genomic DNA of at least one L-type Ca²⁺ channelβ₃ allele. Thus, many progeny of the cell will no longer express L-typeCa²⁺ channel β₃ protein in at least some cells, or will express it at adecreased level and/or in a truncated form, as at least part of theendogenous coding region of L-type Ca²⁺ channel β₃ gene is now disruptedby the antibiotic resistance gene.

The term “selectable marker sequence” is used to identify those cellsthat have incorporated the L-type Ca^(2|) channel β₃ gene knockoutconstruct into their chromosomal DNA. The selectable marker sequence maybe any sequence that serves this purpose, although typically it will bea sequence encoding a protein that confers a detectable trait on thecell, such as an antibiotic resistance gene, an assayable enzyme notnaturally found in the cell, or a fluorescent signal (such as greenfluorescent protein). The marker sequence will also typically containeither a homologous or heterologous promoter that regulates itsexpression.

In another aspect, the present invention provides methods for makingtransgenic animals that have a disruption in the L-type Ca²⁺ channel β₃gene, comprising transforming an embryonic stem cell with a knockoutconstruct of the invention as described above, thereby producing atransformed embryonic stem cell; injecting the transformed embryonicstem cell into a blastocyst; implanting the blastocyst comprising thetransformed embryonic stem cell into a pseudopregnant female animal;allowing the blastocyst to develop to term; and identifying a transgenicanimal whose genome comprises a heterozygous or homozygous disruption ofthe endogenous L-type Ca²⁺ channel β₃ gene. In a preferred embodiment,the animal is a mouse. In a most preferred embodiment, the blastocystsare mouse C57BL/6 blastocysts.

In another aspect, the present invention provides recombinant host cellsthat have been transfected with a recombinant expression vectorcomprising nucleic acid control sequences operatively linked to anL-type Ca²⁻ channel β₃ coding sequence, wherein the host cell does notpossess functional β₃ subunit-containing L-type Ca²⁺ channels, andmethods for using the recombinant host cells. In a preferred embodiment,such host cells are not derived from muscle cells, neurons, orneuro-endocrine cells. In a most preferred embodiment, the host cells ofthe invention undergo InsP₃-induced Ca²⁺ release. The recombinant hostcells of this aspect of the invention can contain functional L-type Ca²⁺channels that do not include the β3 subunit. Verification that suchcells do not possess functional β3 subunit-containing L-type Ca²⁺channels can be done by techniques known to one of skill in the art,such as measuring patch-clamp electrophysiological registrations.

Such host cells are useful, for example, in drug screening assays foridentifying compounds that inhibit the expression or activity of theL-type Ca²⁺ channel β₃ protein.

As used herein the “L-type Ca^(2|) channel β₃ coding sequence” refers tonucleic acid sequences that encode an L-type Ca²⁺ channel β₃ proteinfrom any animal, preferably from rat, mouse, or human, most preferablyhuman. In a further preferred embodiment, the L-type Ca²⁻ channel β₃coding sequence is selected from the group consisting of nucleic acidsequences that encode mouse L-type Ca²⁺ channel β₃ protein ([SEQ IDNO:2], GenBank accession number NP_(—)031607), nucleic acid sequencesthat encode rat L-type Ca²⁺ channel β₃ protein ([SEQ ID NO:4], GenBankaccession number NP_(—)036960), and nucleic acid sequences that encodehuman L-type Ca²⁺ channel β₃ protein ([SEQ ID NO:6], GenBank accessionnumber NP_(—)000716).

Such nucleic acid sequences can be DNA or RNA, but are preferably doublestranded DNA sequences. Such double stranded nucleic acid sequences cancomprise genomic L-type Ca²⁺ channel β₃ nucleic acid sequences (and thusmay include introns), or may comprise cDNA sequences devoid of anyintron sequences.

The terms “host cell” and “recombinant host cell” are usedinterchangeably herein. It should be understood that such terms refernot only to the particular subject cell, but also to the progeny of sucha cell. Since modifications may occur in succeeding generations due toeither mutation or environmental influences, such progeny may not, infact, be identical to the parent cell, but are still included within thescope of the term as used herein.

The host cells can be transiently or stably transfected with therecombinant expression vector. Such transfection of expression vectorsinto eukaryotic cells can be accomplished via any technique known in theart, including, but not limited to, calcium phosphate co-precipitation,electroporation, or liposome mediated-, DEAE dextran mediated-,polycationic mediated-, or viral mediated-transfection. Alternatively,the host cells can be infected with a recombinant viral expressionvector. (See, for example, Molecular Cloning: A Laboratory Manual(Sambrook, et al., 1989, Cold Spring Harbor Laboratory Press); Cultureof Animal Cells: A Manual of Basic Technique, 2^(nd) Ed. (R. I.Freshney. 1987. Liss, Inc. New York, N.Y.)). The host cells can beestablished cell lines, or primary cell cultures.

In a preferred embodiment, the promoter is heterologous (i.e., is notthe naturally occurring L-type Ca^(2|) channel β3 gene promoter). Apromoter and an L-type Ca^(2|) channel β₃-encoding nucleic acid sequenceare “operatively linked” when the promoter is capable of drivingexpression of the L-type Ca²⁺ channel β₃ nucleic acid sequence. As usedherein, the term “vector” refers to a nucleic acid molecule capable oftransporting another nucleic acid to which it has been linked. One typeof vector is a “plasmid,” which refers to circular double stranded DNAinto which additional DNA segments may be cloned. Another type of vectoris a viral vector, wherein additional DNA segments may be cloned intothe viral genome. Certain vectors are capable of autonomous replicationin a host cell into which they are introduced (e.g., bacterial vectorshaving a bacterial origin of replication and episomal mammalianvectors). Other vectors (e.g., non-episomal mammalian vectors) areintegrated into the genome of a host cell upon introduction into thehost cell, and thereby are replicated along with the host genome.Moreover, certain vectors are capable of directing the expression ofgenes to which they are operatively linked. Such vectors are referred toherein as “recombinant expression vectors” or simply “expressionvectors”.

The vector may also contain additional sequences, such as a polylinkerfor subcloning of additional nucleic acid sequences and apolyadenylation signal to effect proper polyadenylation of thetranscript. The nature of the polyadenylation signal is not believed tobe crucial to the successful practice of the invention, and any suchsequence may be employed, including, but not limited to, the SV40 andbovine growth hormone poly-A sites. The vector may also comprise atermination sequence, which can serve to enhance message levels and tominimize read through from the construct into other sequences. Finally,expression vectors may include selectable markers, often in the form ofantibiotic resistance genes, which permit selection of cells that carrythese vectors.

As discussed above, ATP stimulates calcium release from intracellularstores. The inventors of the present invention have discovered that theL-type Ca²⁺ channel β₃ protein serves to inhibit the ATP-stimulatedrelease of calcium from intracellular stores. This inhibitory activityis not dependent on the existence of functional voltage-gated channelsin the cells. Thus, in the recombinant cells of the invention disclosedabove, expression of the L-type Ca²⁺ channel β₃ protein serves toinhibit ATP-stimulated release of calcium from intracellular stores.Inhibitors of the L-type Ca²⁺ channel β₃ protein administered to therecombinant cells of the invention serve to restore the ATP-stimulatedrelease of calcium from intracellular stores.

Thus, in another aspect, the present invention provides methods foridentifying inhibitors of the L-type Ca²⁺ channel β₃ protein, comprisingproviding the recombinant host cells of the invention; contacting thehost cells with a detectable calcium indicator, wherein the calciumindicator emits detectable signals in the presence of calcium; treatingthe host cells with one or more test compounds to be screened, whereinthe treating occurs before, simultaneous with, or after the contactingof the host cells with the calcium indicator; stimulating the host cellswith an amount of ATP that is effective to increase intracellularcalcium concentration in control cells; and detecting signals from thecalcium indicator in the host cells, and comparing the signals to thosedetected from control cells; wherein the signals are used to detectrestoration of the ATP-stimulated signal in the host cells due to thecontacting of the host cells with the one or more test compounds, andwherein such a restoration in response to a test compound indicates thatthe test compound is an inhibitor of the L-type Ca^(2|) channel β₃protein. Such restoration can include partial or complete restoration ofthe ATP-stimulated signal to the level seen in control cells.

As used herein, an “inhibitor” of the L-type Ca²⁺ channel β₃ subunitincludes compounds that inhibit the transcription of the L-type Ca²⁺channel β₃ DNA into RNA, compounds that inhibit the translation ofL-type Ca²⁺ channel β₃ RNA into protein, and compounds that inhibit thefunction of L-type Ca²⁺ channel β₃ protein. Such inhibiting can becomplete inhibition or partial inhibition, such that the expressionand/or activity of the L-type Ca²⁺ channel β₃ subunit is reduced,resulting in a reduced ability to inhibit release of calcium fromintracellular calcium stores.

In a preferred embodiment, the cells are mammalian cells. In a mostpreferred embodiment, the cells are selected from the group consistingof rodent and human cells.

The “one or more test compounds” can be of any nature, including, butnot limited to, chemical and biological compounds and environmentalsamples. The one or more test compounds may also comprise a plurality ofcompounds, including, but not limited to, combinatorial chemicallibraries and natural compound libraries. Contacting the host cells withthe one or more test compounds can occur before, after, and/orsimultaneously with the contacting of the host cells with the detectablecalcium indicator, depending on the details of the assay design. Forexample, in order to carry out kinetic screening, it is necessary todetect the signals from the host cells at multiple time points, and theuser may acquire detectable signals before, at the time of, and aftercontacting of the cells with the test compound.

As used herein, the term “detectable calcium indicator” means anymolecule or molecules emitting a detectable, measurable signal uponintracellular interaction with calcium. Such indicators and their useare known in the art and include, but are not limited to,calcium-sensitive bioluminescent proteins, fluorescent proteins, andsynthetic probes such as fluorescent calcium dyes, such as areavailable, for example, from Molecular Probes (Eugene, Oreg.). In apreferred embodiment, the detectable calcium indicator is a fluorescentcalcium indicator.

As used herein, a stimulatory amount of ATP for increasing intracellularcalcium signaling for a given cell type can be determined routinely byone of skill in the art. For most such applications, the use of between0.2 μM and 500 μM ATP will be effective and most preferably the amountof ATP is between 1 μM and 100 μM.

In order to derive optimal information on the ability of the one or moretest compounds to inhibit L-type Ca²⁺ channel β₃ expression and/oractivity, it is preferred to compare the signals from the detectablecalcium indicator in recombinant host cells with signals from controlcells. Such control cells can include one or more of the following:

1. The same recombinant host cells, treated in the same way except notcontacted with the one or more test compounds;

2. The same recombinant host cells, treated in the same way exceptcontacted with the one or more test compounds at different time points(for analyzing time-dependent effects);

3. The same recombinant host cells, treated in the same way exceptcontacted with different concentrations of the one or more testcompounds (for analyzing concentration-dependent effects);

4. Non-recombinant cells of the same cell type as the recombinant hostcells, contacted with the one or more test compounds; and

5. Non-recombinant cells of the same cell type as the recombinant hostcells, not contacted with the one or more test compounds.

In a preferred embodiment of the invention, the control cells undergoInsP₃-induced Ca²⁺ release that is diminished or inhibited by expressionof the L-type Ca²⁺ channel β₃ protein, wherein such InsP₃-induced Ca²⁺release can be restored by an inhibitor of the L-type Ca²⁺ channel β₃protein.

In a preferred embodiment, the cells are plated in microplates of 96wells or more, and the method is conducted in a high throughput manner.After potential lead compounds are identified, various confirmatoryassays can be carried out, such as examining the effect of the potentiallead compound on the transgenic animals or the isolated pancreatic betaislet cells of the invention disclosed above. If the compound is actingas an inhibitor of the L-type Ca²⁺ channel β₃ subunit, it will have alesser or no effect on the transgenic animal and/or the pancreatic betaislet cells, thus verifying that the cellular target for the leadcompound is the L-type Ca²⁺ channel β₃ subunit.

In various preferred embodiment of this aspect of the invention, thescreening methods described herein are used to identify compounds foruse in treating one or more disorders selected from the group consistingof diabetes, insulin resistance, impaired insulin secretion, andimpaired glucose homeostasis.

In yet another aspect, the invention provides L-type Ca²⁺ channel β₃subunit inhibitors identified by the methods described above.

In a further aspect, the present invention provides methods for treatinga subject with one or more disorder selected from the group consistingof diabetes, insulin resistance, impaired insulin secretion, andimpaired glucose homeostasis, comprising administering to the subjectone or more inhibitors of an L-type Ca²⁺ channel β₃ subunit to provide abenefit to the subject.

As used herein, the term “subject” or “patient” is meant any subject forwhich therapy is desired, including humans, cattle, dogs, cats, guineapigs, rabbits, rats, mice, insects, horses, chickens, and so on. Mostpreferably, the subject is human.

As used herein, “diabetes” is characterized by insufficient or noproduction of insulin by the pancreas, leading to high blood sugarlevels. In a preferred embodiment, the diabetes is Type II diabetes. Forsuch a patient, a “benefit” includes one or more of increased insulinproduction and lowering of blood sugar levels.

As used herein, “impaired insulin secretion” refers to an inability tosecrete adequate insulin to maintain a normal blood glucose level. Forsuch a patient, a “benefit” includes one or more of increased insulinproduction, and lowering or normalizing of blood sugar levels.

As used herein, “insulin resistance” means a decreased insulineffectiveness in stimulating glucose uptake and/or restraining hepaticglucose production. For such a patient, a “benefit” includes a loweringor normalizing of blood sugar levels.

As used herein, “impaired glucose homestasis” means an inability tomaintain a normal blood glucose concentration. For such a patient, a“benefit” includes one or more of increased insulin production, loweringof blood sugar levels, and normalization of blood sugar levels overtime.

In one embodiment, the inhibitors of the L-type Ca²⁺ channel β₃ subunitare identified by the methods of the invention, as described above.

In a further embodiment of this aspect of the invention, the one or moreL-type Ca²⁺ channel β₃ subunit inhibitors is selected from the groupconsisting of antibodies selective for the L-type Ca²⁺ channel β₃subunit; antisense oligonucleotides directed against the L-type Ca²⁺channel β₃ subunit, and small interfering RNAs directed against theL-type Ca²⁺ channel β₃ subunit.

Antibodies selective for the L-type Ca²⁺ channel β₃ subunit can bepolyclonal or monoclonal antibodies, and include chimeric, single chainand humanized antibodies, as well as Fab fragments, or the product of anFab expression library. In a preferred embodiment, the antibodies areselective for an L-type Ca²⁺ channel β₃ subunit as disclosed in SEQ IDNO:2, SEQ ID NO:4, and/or SEQ ID NO:6. An antibody is considered toselectively bind to the L-type Ca²⁺ channel β₃ subunit, even if it alsobinds to other proteins that are not substantially homologous with theL-type Ca²⁺ channel β₃ subunit. Such antibodies can be made by standardmethods in the art, such as described in Harlow and Lane, Antibodies; ALaboratory Manual, Cold Spring Harbor Laboratory, Cold Spring Harbor,N.Y., (1988). Full-length protein or antigenic peptide fragments of theL-type Ca²⁺ channel β₃ subunit can be used as an immunogen to generateantibodies using standard techniques for polyclonal and monoclonalantibody preparation.

In one example, pre-immune serum is collected prior to the firstimmunization. A peptide portion of the amino acid sequence of an L-typeCa²⁺ channel β₃ subunit, together with an appropriate adjuvant, isinjected into an animal in an amount and at intervals sufficient toelicit an immune response. Animals are bled at regular intervals,preferably weekly, to determine antibody titer. The animals may or maynot receive booster injections following the initial immunization. Atabout 7 days after each booster immunization, or about weekly after asingle immunization, the animals are bled, the serum collected, andaliquots are stored at about −20° C. Polyclonal antibodies againstL-type Ca²⁺ channel β₃ subunit can then be purified directly by passingserum collected from the animal through a column to whichnon-antigen-related proteins prepared from the same expression systemwithout L-type Ca²⁺ channel β₃ subunit bound.

Monoclonal antibodies can be produced by obtaining spleen cells from theanimal. (See Kohler and Milstein, Nature 256, 495-497 (1975)). In oneexample, monoclonal antibodies (mAb) of interest are prepared byimmunizing inbred mice with a L-type Ca²⁺ channel β₃ subunit, or portionthereof. The mice are immunized by the IP or SC route in an amount andat intervals sufficient to elicit an immune response. The mice receivean initial immunization on day 0 and are rested for about 3 to about 30weeks. Immunized mice are given one or more booster immunizations by theintravenous (IV) route. Lymphocytes from antibody positive mice areobtained by removing spleens from immunized mice by standard proceduresknown in the art. Hybridoma cells are produced by mixing the spleniclymphocytes with an appropriate fusion partner under conditions thatallow formation of stable hybridomas. The antibody producing cells andfusion partner cells are fused in polyethylene glycol at concentrationsfrom about 30% to about 50%. Fused hybridoma cells are selected bygrowth in hypoxanthine, thymidine and aminopterin supplementedDulbecco's Modified Eagles Medium (DMEM) by procedures known in the art.Supernatant fluids are collected from growth positive wells and screenedfor antibody production by an immunoassay such as solid phaseimmunoradioassay. Hybridoma cells from antibody positive wells arecloned by a technique such as the soft agar technique of MacPherson,Soft Agar Techniques, in Tissue Culture Methods and Applications, Kruseand Paterson, Eds., Academic Press, 1973.

To generate such an antibody response, an L-type Ca²⁺ channel β₃ subunitor antigenic portion thereof is typically formulated with apharmaceutically acceptable carrier for parenteral administration. Suchacceptable adjuvants include, but are not limited to, Freund's complete,Freund's incomplete, alum-precipitate, water in oil emulsion containingCorynebacterium parvum and tRNA. The formulation of such compositions,including the concentration of the polypeptide and the selection of thevehicle and other components, is within the skill of the art.

Antibodies can be fragmented using conventional techniques, and thefragments screened for utility in the same manner as described above forwhole antibodies. For example, F(ab′)₂ fragments can be generated bytreating antibody with pepsin. The resulting F(ab′)₂ fragment can betreated to reduce disulfide bridges to produce Fab′ fragments.

In another preferred embodiment, the L-type Ca²⁺ channel β₃ subunitinhibitors for use with the methods of the present invention areoligomeric compounds, particularly antisense oligonucleotides. Suchantisense oligonucleotides are used for inhibiting the expression and/orfunction of nucleic acid molecules encoding the L-type Ca^(2|) channelβ₃ subunit, and thus ultimately inhibiting the amount of L-type Ca²⁺channel β₃ subunit produced. This is accomplished by providing antisenseoligonucleotides that specifically hybridize with one or more nucleicacids encoding the L-type Ca²⁺ channel β₃ subunit. Such nucleic acidsencompass DNA encoding the L-type Ca²⁺ channel β₃ subunit, RNA(including pre-mRNA and mRNA) transcribed from such DNA, and also cDNAderived from such RNA. The specific hybridization of an oligomericcompound with its target nucleic acid interferes with the normalfunction of the nucleic acid. This modulation of function of a targetnucleic acid by compounds that specifically hybridize to it is generallyreferred to as “antisense”. The functions of DNA to be interfered withinclude replication and transcription. The functions of RNA to beinterfered with include all vital functions such as, for example,translocation of the RNA to the site of protein translation, translationof protein from the RNA, splicing of the RNA to yield one or more mRNAspecies, and catalytic activity that may be engaged in or facilitated bythe RNA. The overall effect of such interference with target nucleicacid function is inhibition of the expression of the L-type Ca²⁺ channelβ₃ subunit.

The target is a nucleic acid molecule encoding the L-type Ca²⁺ channelβ₃ subunit, such as those encoding the proteins of SEQ ID NOS: 2, 4,and/or 6. In a preferred embodiment, the antisense oligonucleotidestarget a nucleic acid selected from the group consisting of SEQ ID NOS:1, 3, and 5, or portions thereof. In a most preferred embodiment, theantisense oligonucleotides target the human L-type Ca²⁺ channel β₃subunit gene [SEQ ID NO:5] (GenBank accession number L27584), orportions thereof.

Preferred intragenic sites in the target gene include sites comprisingthe translational initiation codon, the termination codon, the codingregion, intron-exon junctions, and the untranslated regions (both 5′ and3′).

As used herein, “hybridization” means hydrogen bonding, which may beWatson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, betweencomplementary nucleoside or nucleotide bases. The oligonucleotide andthe DNA or RNA are complementary to each other when a sufficient numberof corresponding positions in each molecule are occupied by nucleotideswhich can hydrogen bond with each other. It is understood in the artthat the sequence of an antisense compound need not be 100%complementary to that of its target nucleic acid to be specificallyhybridizable. An antisense compound is specifically hybridizable whenbinding of the compound to the target DNA or RNA molecule interfereswith the normal function of the target DNA or RNA to cause a loss ofutility, and there is a sufficient degree of complementarity to avoidnon-specific binding of the antisense compound to non-target sequencesunder conditions in which specific binding is desired, i.e., underphysiological conditions in the case of in vivo assays or therapeutictreatment, and in the case of in vitro assays, under conditions in whichthe assays are performed.

In the context of this invention, the term “oligonucleotide” refers toan oligomer or polymer of ribonucleic acid (RNA) or deoxyribonucleicacid (DNA) or mimetics thereof. This term includes oligonucleotidescomposed of naturally-occurring nucleobases, sugars and covalentinternucleoside (backbone) linkages as well as oligonucleotides havingnon-naturally-occurring portions which function similarly. Such modifiedor substituted oligonucleotides are often preferred over native formsbecause of desirable properties such as, for example, enhanced cellularuptake, enhanced affinity for nucleic acid target and increasedstability in the presence of nucleases.

The antisense compounds in accordance with this invention preferablycomprise from about 8 to about 50 nucleotides or nucleosides.Particularly preferred antisense compounds are antisenseoligonucleotides, even more preferably those comprising from about 12 toabout 30 nucleotides or nucleosides. Antisense compounds includeribozymes, external guide sequence (EGS) oligonucleotides (oligozymes),and other short catalytic RNAs or catalytic oligonucleotides whichhybridize to the target nucleic acid and modulate its expression.

While antisense oligonucleotides are a preferred form of antisensecompound, the present invention comprehends other oligomeric antisensecompounds, including but not limited to oligonucleotide mimetics such asare described below. Specific examples of preferred antisense compoundsuseful in this invention include oligonucleotides containing modifiedbackbones or non-natural internucleoside linkages. As defined in thisspecification, oligonucleotides having modified backbones, include, butare not limited to, phosphorothioates, chiral phosphorothioates,phosphorodithioates, phosphotriesters, aminoalkylphosphotriesters,methyl and other alkyl phosphonates, phosphinates, phosphoramidates,thionophosphoramidates, thionoalkylphosphonates,thionoalkylphosphotriesters, selenophosphates and boranophosphates.Representative United States patents that teach the preparation of theabove phosphorus-containing linkages include, but are not limited to,U.S. Pat. Nos. 3,687,808; 4,469,863; 4,476,301; 5,023,243; 5,177,196;5,188,897; 5,264,423; 5,276,019; 5,278,302; 5,286,717; 5,321,131;5,399,676; 5,405,939; 5,453,496; 5,455,233; 5,466,677; 5,476,925;5,519,126; 5,536,821; 5,541,306; 5,550,111; 5,563,253; 5,571,799;5,587,361; 5,194,599; 5,565,555; 5,527,899; 5,721,218; 5,672,697 and5,625,050.

Other modified oligonucleotide backbones include short chain alkyl orcycloalkyl internucleoside linkages, mixed heteroatom and alkyl orcycloalkyl internucleoside linkages, or one or more short chainheteroatomic or heterocyclic internucleoside linkages. RepresentativeUnited States patents that teach the preparation of the aboveoligonucleosides include, but are not limited to, U.S. Pat. Nos.5,034,506; 5,166,315; 5,185,444; 5,214,134; 5,216,141; 5,235,033;5,264,562; 5,264,564; 5,405,938; 5,434,257; 5,466,677; 5,470,967;5,489,677; 5,541,307; 5,561,225; 5,596,086; 5,602,240; 5,610,289;5,602,240; 5,608,046; 5,610,289; 5,618,704; 5,623,070; 5,663,312;5,633,360; 5,677,437; 5,792,608; 5,646,269 and 5,677,439.

One example of an oligonucleotide mimetic that can be used is referredto as a peptide nucleic acid (PNA). In PNA compounds, the sugar-backboneof an oligonucleotide is replaced with an amide containing backbone, inparticular an aminoethylglycine backbone. Representative United Statespatents that teach the preparation of PNA compounds include, but are notlimited to, U.S. Pat. Nos. 5,539,082; 5,714,331; and 5,719,262. Furtherteaching of PNA compounds can be found in Nielsen et al., Science, 1991,254, 1497-1500.

Oligonucleotides may also include base modifications or substitutions,including, but not limited, to 5-substituted pyrimidines,6-azapyrimidines and N-2, N-6 and O-6 substituted purines.Representative United States patents that teach the preparation of suchmodified bases include, but are not limited to, U.S. Pat. Nos.3,687,808; 4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066;5,432,272; 5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711;5,552,540; 5,587,469; 5,594,121, 5,596,091; 5,614,617; 5,645,985;5,830,653; 5,763,588; 6,005,096; and 5,681,941.

Other modifications of oligonucleotides for use in the methods of theinvention involve chemically linking to the oligonucleotide one or moremoieties or conjugates that enhance the activity, cellular distributionor cellular uptake of the oligonucleotide, including but not limited tointercalators, reporter molecules, polyamines, polyamides, polyethyleneglycols, polyethers, and groups that enhance the pharmacodynamicproperties of oligomers, and groups that enhance the pharmacokineticproperties of oligomers. Representative United States patents that teachthe preparation of such oligonucleotide conjugates include, but are notlimited to, U.S. Pat. Nos. 4,828,979; 4,948,882; 5,218,105; 5,525,465;5,541,313; 5,545,730; 5,552,538; 5,578,717, 5,580,731; 5,580,731;5,591,584; 5,109,124; 5,118,802; 5,138,045; 5,414,077; 5,486,603;5,512,439; 5,578,718; 5,608,046; 4,587,044; 4,605,735; 4,667,025;4,762,779; 4,789,737; 4,824,941; 4,835,263; 4,876,335; 4,904,582;4,958,013; 5,082,830; 5,112,963; 5,214,136; 5,082,830; 5,112,963;5,214,136; 5,245,022; 5,254,469; 5,258,506; 5,262,536; 5,272,250;5,292,873; 5,317,098; 5,371,241, 5,391,723; 5,416,203, 5,451,463;5,510,475; 5,512,667; 5,514,785; 5,565,552; 5,567,810; 5,574,142;5,585,481; 5,587,371; 5,595,726; 5,597,696; 5,599,923; 5,599,928 and5,688,941.

Where the oligonucleotides contain such modifications, it is notnecessary for all positions in a given oligonucleotide to be uniformlymodified, and in fact more than one of the aforementioned modificationsmay be incorporated in a single oligonucleotide or even at a singlenucleoside or nucleotide within an oligonucleotide.

The antisense compounds used in accordance with this invention may beroutinely produced by the well-known technique of solid phase synthesis.Equipment for such synthesis is sold by several vendors including, forexample, Applied Biosystems (Foster City, Calif.). Any other means forsuch synthesis known in the art may additionally or alternatively beemployed. It is well known to use similar techniques to prepareoligonucleotides such as the phosphorothioates and alkylatedderivatives. The compounds of the invention may also be admixed,encapsulated, conjugated or otherwise associated with other molecules,molecule structures or mixtures of compounds, as for example, liposomes,receptor targeted molecules, oral, rectal, topical or otherformulations, for assisting in uptake, distribution and/or absorption.Representative United States patents that teach the preparation of suchuptake, distribution and/or absorption assisting formulations include,but are not limited to, U.S. Pat. Nos. 5,108,921; 5,354,844; 5,416,016;5,459,127; 5,521,291; 5,543,158; 5,547,932; 5,583,020; 5,591,721;4,426,330; 4,534,899; 5,013,556; 5,108,921; 5,213,804; 5,227,170;5,264,221; 5,356,633; 5,395,619; 5,416,016; 5,417,978; 5,462,854;5,469,854; 5,512,295; 5,527,528; 5,534,259; 5,543,152; 5,556,948;5,580,575; and 5,595,756.

In a further embodiment, the inhibitors of the L-type Ca²⁺ channel β₃protein are small interfering RNA (“siRNA”) sequences directed againstthe L-type Ca²⁺ channel β₃ nucleic acid. Double-stranded (dsRNA) directsthe sequence-specific degradation of mRNA through a process known as RNAinterference (RNAi). (US Application 20020086356.) It is preferred that21-23 nucleotide dsRNA fragments derived from the L-type Ca²⁺ channel β₃are used to inhibit L-type Ca²⁺ channel β₃ expression, although longeror shorter dsRNA sequences can be used. In a preferred embodiment, thedsRNA fragments are directed at a sequence selected from the groupconsisting of SEQ ID NO:1, SEQ ID NO:3, and SEQ ID NO:5, or fragmentsthereof. The molecules can be blunt ended or comprise overhanging ends(e.g., 5′, 3′) of from 1 to 6 nucleotides. Such siRNA sequences can beprepared using standard techniques, such as chemical synthesis orrecombinant production.

Dosing for the therapeutic methods of the invention are dependent onseverity and responsiveness of the disease state to be treated, with thecourse of treatment lasting from several days to several months, oruntil a cure is effected or a diminution of the disease state orsymptoms thereof are achieved. Optimal dosing schedules can becalculated from measurements of drug accumulation in the body of thepatient. Persons of ordinary skill can easily determine optimum dosages,dosing methodologies and repetition rates. Optimum dosages may varydepending on the relative potency of individual inhibitors, and cangenerally be estimated based on EC50 found to be effective in in vitroand in vivo animal models. In general, dosage is from 0.01 ug to 100 mgper kg of body weight, and may be given once or more daily, weekly, orotherwise. Persons of ordinary skill in the art can easily estimaterepetition rates for dosing based on measured residence times andconcentrations of the drug in bodily fluids or tissues. Followingsuccessful treatment, it may be desirable to have the patient undergomaintenance therapy to prevent the recurrence of the disease state,wherein the inhibitor is administered in maintenance doses, similar tothose described above.

In another aspect, the present invention also includes pharmaceuticalcompositions comprising one or more inhibitor of the L-type Ca²⁺ channelβ₃ subunit and a pharmaceutically acceptable carrier. In a preferredembodiment, the one or more inhibitor of the L-type Ca²⁺ channel β₃subunit is selected from the group consisting of an antibody selectivefor the L-type Ca²⁻ channel β₃ subunit; an antisense oligonucleotidedirected against the L-type Ca²⁺ channel β₃ subunit; and a smallinterfering RNA directed against the L-type Ca²⁺ channel β₃ subunit, asdiscussed above. In other embodiments, the inhibitor is one identifiedaccording to the drug discovery methods of the invention.

The inhibitors may be subjected to conventional pharmaceuticaloperations such as sterilization and/or may contain conventionaladjuvants, such as preservatives, stabilizers, wetting agents,emulsifiers, buffers etc. In another preferred embodiment, theinhibitors are identified by the methods of the invention.

For administration, the inhibitors are ordinarily combined with one ormore adjuvants appropriate for the indicated route of administration.The inhibitors may be admixed with lactose, sucrose, starch powder,cellulose esters of alkanoic acids, stearic acid, talc, magnesiumstearate, magnesium oxide, sodium and calcium salts of phosphoric andsulphuric acids, acacia, gelatin, sodium alginate, polyvinylpyrrolidine,and/or polyvinyl alcohol, and tableted or encapsulated for conventionaladministration. Alternatively, the inhibitors may be dissolved insaline, water, polyethylene glycol, propylene glycol, carboxymethylcellulose colloidal solutions, ethanol, corn oil, peanut oil, cottonseedoil, sesame oil, tragacanth gum, and/or various buffers. Other adjuvantsand modes of administration are well known in the pharmaceutical art.The carrier or diluent may include time delay material, such as glycerylmonostearate or glyceryl distearate alone or with a wax, or othermaterials well known in the art. The inhibitors may be made up in asolid form (including granules, powders or suppositories) or in a liquidform (e.g., solutions, suspensions, or emulsions). Suitable solutionsfor use in accordance with the invention are sterile, dissolvesufficient amounts of the polypeptides, and are not harmful for theproposed application.

The present invention may be better understood in light of the followingexamples. The examples are intended to further illustrate certainpreferred embodiments of the invention, and are not intended to limitthe scope of the invention.

EXAMPLES Example 1 Preparation of L-type Ca²⁺ Channel β₃ Knockout Mice

The β₃ gene (Murakami, M. et al. 1996 Eur. J. Biochem. 236:138-143 1996)was knocked-out β₃ ^(−/−)) by replacing part of its exon 3 and thecomplete exon 4 with a neomycin-resistance gene (neo). Targeting vectorIIMB was prepared, starting with the pMC1 neoPolyA vector (Stratagene)by replacing a 1 kb HincII (H) fragment, containing part of exon 3, exon4, and part of the following intron of the mouse β₃ gene, with theneomycin resistance cassette (neo^(r)). (See FIG. 1.)

For generation of β₃ ^(−/−) mice, linearized targeting constructs wereelectroporated into R1 embryonic stem (ES) cells (Nagy, A. et al. 1993,Proc. Natl. Acad. Sci. USA 90:8424-8428) and recombinant clones wereselected with G418 and ganciclovir. Three out of 470 ES cell clones withpredicted genomic structures for the targeting vector IIMB wereidentified and selected. Selected ES cell clones were microinjected intoC57BL/6 blastocysts and transferred into the uteri of pseudopregnantrecipient females. Two of three homologous recombinant clones wereinjected into C57BL/6 mouse blastocysts. Chimeric mice were mated withC57BL/6 females.

Offsprings were typed for the β₃ mutation by Southern blot analysis.Genomic DNA from ES cells or mouse tails were digested with EcoRI,separated on agarose gel and transferred to nylon membrane.Hybridizations were carried out with a ³²P-labeled probe (˜500 bpSmaI/ApaI fragment). After hybridization, the blots were washed andexposed to X-ray films. A polymerase chain reaction based assay wasdeveloped for rapid offspring-genotyping using the primer pair 5′-AGCACA AAC CTG TGG CAT TTG-3′ (covering nucleotides 167-187 of exons 2 and3 of the murine β₃ gene) [SEQ ID NO:7] and 5′-TCG GTT GCC AAT GTC ACCCAG-3′ (covering nucleotides 430-450 of exon 5 of the murine β₃ gene)[SEQ ID NO:8] and mouse tail genomic DNA as template.

Wild-type and mutant alleles were indicated by the presence of a 12 kband a 8 kb EcoRI fragment, respectively. The deletion of the β₃ gene wasconfirmed by Northern blot analysis and immunoblotting of brainextracts. Breeding of heterozygous mice generated β₃ ^(−/−) mice at arate as expected from the mendelian frequency (118+/+, 212+/−, 99−/−).Surviving homozygotes grew normally, lived longer than one year, werefertile and had no obvious symptoms.

Example 2 Glucose Tolerance of L-type Ca²⁺ Channel β₃ Knockout Mice

Intraperitoneal and oral glucose tolerance tests were carried out on theL-type Ca²⁺ channel β₃ knockout mice. For the intraperitoneal glucosetolerance tests, 2 g D-glucose per kg bodyweight were injectedintraperitoneally. For the oral glucose tolerance tests, mice were given1.2 g glucose per kg bodyweight. In both glucose tolerance tests, bloodsamples were collected by tail bleeds.

There was no significant difference in fasting blood glucose levels,however β₃ ^(−/−) mice demonstrated a more efficient glucosehomeostasis, exemplified by the more effective glucose removal from theblood, compared to wild type mice. (See FIG. 2).

Example 3 Insulin Release in Isolated β₃ Subunit Deficient IsolatedPancreatic Islets

Islets of Langerhans were isolated by collagenase digestion andmaintained overnight in RPMI 1640 culture medium (Flow Laboratories,UK). Single cells, obtained by shaking the islets in Ca²⁺-free medium,were seeded into plastic dishes. For measurements of insulin release,islets were pre-incubated in Krebs-Ringer bicarbonate buffer (KRBB) for30 min at 37° C. Groups of 3 islets were transferred to tubes containing0.3 ml KRBB with test substances and incubated for another 30 min at 37°C. The incubation was terminated by cooling the samples on ice. Sampleswere stored at −20° C. until insulin was analyzed. There was nodifference in insulin secretion at basal glucose concentration (3.3 mMglucose), whereas at stimulatory concentrations of the sugar (16.7 mMglucose) islets from β₃ ^(−/−) mice showed significantly higher insulinrelease, approximately 200%, compared to islets from wild type mice.

To clarify whether the β₃ subunit directly affects the exocytoticmachinery, insulin release from electropermeabilized islets at basal andelevated Ca²⁺-concentrations was investigated. To measure insulinrelease from permeabilized islets, islets were washed in a coldpermeabilization buffer. Islets were subsequently electropermeabilizedin this buffer by 6 pulses of a 3 kV/cm electric field. Groups of 3permeabilized islets were selected and transferred to tubes with 0.3 mlof a modified permeabilization buffer containing 2 mM MgATP, 2 mMcreatine phosphate, 10 U/ml creatine phosphokinase and a free Ca²⁺concentration of either 30 nM or 10 μM. Islets were incubated for 20 minat 37° C. Insulin was measured by radioimmunoassay, using rat insulin asa standard (Novo Nordisk, Denmark). No difference in insulin secretionbetween islets from β₃ ^(−/−) and wild type mice was observed under anyof these conditions.

Pancreatic islets from wild type and β₃ ^(−/−) mice were transfectedwith adenovirus vectors encoding either GFP without the β₃ subunit orβ₃-CFP. Insulin secretion was measured in response to 16.7 mM glucose at24 h after transduction. Transduction by the β₃-encoding adenoviralexpression construct back to β₃ subunit deficient islets changed thepattern of glucose-induced insulin release to that observed in wild-typeislets.

Hence, the more efficient glucose homeostasis observed in β₃ ^(−/−) miceis explained by an increased insulin release. There was no difference inglucose metabolism between wild type islets and islets from β₃ ^(−/−)mice, as indicated from measurements of NAD(P)H fluorescence.

Example 4 Patch-Clamp Measurements

Cell-attached single-channel recordings were made in β-cells from wildtype and β₃ subunit knockout mice with pipettes containing (in mM): 110BaCl₂, 10 TEA-Cl and 5 HEPES-Ba(OH)₂ (pH 7.4). Currents resulting fromvoltage pulses (from −70 to 0 mV, 200 ms, 0.5 Hz) were filtered at 1kHz, digitized at 5 kHz and registered. Whole-cell Ca²⁺ currents wererecorded in β-cells from wild type and β₃ subunit knockout mice by usingthe perforated-patch variant of whole-cell patch-clamp recordingtechnique. Electrodes were filled with: 76 mM Cs₂SO₄, 1 mM MgCl₂, 10 mMKCl, 10 mM NaCl, and 5 mM Hepes (pH 7.35), as well as amphotericin B(0.24 mg/ml). The cells were bathed in a solution containing: 138 mMcholine chloride, 10 mM tetraethylammonium chloride, 10 mM CaCl₂, 5.6 mMKCl, 1.2 mM MgCl₂, 5 mM HEPES and 3 mM glucose (pH 7.4). Whole-cellcurrents induced by voltage pulses (from a holding potential of −70 mVto several clamping potentials from −60 to 50 mV in 10 mV increments,100 ms, 0.5 Hz) were filtered at 1 kHz and recorded. All recordings weremade with an Axopatch 200 amplifier (Axon Instruments, Foster City,Calif.) at room temperature (about 22° C.). Acquisition and analysis ofdata were done using the software program pCLAMP6 (Axon Instruments,Foster City, Calif.).

The whole-cell configuration of the patch-clamp technique was performedas follows: pipettes were pulled from borosilicate glass, coated withSylgard near the tips and fire-polished. The pipettes (2-5 mΩ) werefilled with a solution containing 150 mM N-methyl-D-glucamine, 125 mMHCl, 1.2 mM MgCl₂, 10 mM EGTA, 5 mM HEPES and 3 mM MgATP. pH wasadjusted to 7.15 with KOH. Bath buffer contained (in mM) NaCl 138, KCl5.6, MgCl₂ 1.2, CaCl₂ 10, HEPES 5 and pH 7.4. Islets or isolated cellswere loaded with 2 μM fura 2/AM for 30 min in KRBB. For measurements ofCCh (carbamylcholine) effects in Ca²⁺-free medium, KRBB containing noCa²⁺ and 100 μM EGTA was used. After loading, a single islet or cellsattached to a coverslip were transferred to an open perfusion chamberand maintained at 37° C. Measurements of 340/380 nm fluorescence ratio,reflecting [Ca²⁺]_(i), were done as described in the art (Zaitsev, S.V.et al. 1995, Proc. Natl. Acad. Sci. USA 92:9712-9716). Time constant ofdecay in [Ca²⁺]_(i) was calculated with a double exponential decayequation using quasi Newton algorithm (Statistica for Windows, v. 5.0,StatSoft, Inc., USA). For measurements of [Ca²⁺]_(ER), the low affinityCa²⁺-sensitive fluorescent dye X-Rhod-5N (Molecular Probes) wasemployed. The K_(D) of the dye (350 μM) guaranteed that the recordedchanges in fluorescence mainly reflected changes in [Ca²⁺]_(ER). Singleβ-cells were incubated with 5 μM X-Rhod-5N/AM for 1 hour at 4° C. toensure dye loading into intracellular compartments. After loading, thecells were washed in dye free buffer and further incubated for 2 hoursat 37° C. to remove the dye from the cytosol. X-Rhod-5N was excited at570 nm and signal was collected through a 600 nM long pass emissionfilter.

Exocytosis was monitored in single β-cells as changes in cell membranecapacitance, using the perforated-patch whole-cell configuration.Changes in cell capacitance were measured at a holding potential of −70mV and detected using software written in Axobasic (Axon Instruments,Foster City, Calif., USA). During the experiments the cells, placed inan experimental chamber with a volume of 0.4 ml, were continuouslysuperfused at a rate of 1.5 ml/min to maintain the temperature at 33° C.Experiments commenced when two successive depolarizations applied at 2min interval elicited exocytotic responses of the same amplitude (∀10%)to ascertain that the observed changes were not simply attributed tospontaneous long-term changes of the secretory capacity. The pipettesolution contained 76 mM Cs₂SO₄, 10 mM NaCl, 10 mM KCl, 1 mM MgCl₂ and 5mM HEPES (pH 7.35 with CsOH). Electrical contact with the cell interiorwas established by adding 0.24 mg/ml amphotericin B to the pipettesolution. Perforation required a few minutes and the voltage-clamp wasconsidered satisfactory when the series conductance (G_(series)) wasconstant and >35−40 nS. The extracellular medium consisted of 118 mMNaCl, 20 mM tetraethylammonium-Cl (TEA-Cl), 5.6 mM KCl, 1.2 mM MgCl₂,2.6 mM CaCl₂, 5 mM HEPES (pH 7.40 using NaOH) and 5 mM D-glucose.Parallel measurements of [Ca²⁺]_(i) were made using fura-2/AM andfluorescence imaging Ionoptix (Milton, Mass., USA). Calibration of thefluorescence ratios was performed by using the standard whole-cellconfiguration to infuse fura-2 with different mixtures of Ca²⁺ and EGTAhaving a known [Ca²⁺]_(i).

Example 5 Molecular Mechanisms Underlying Increased Insulin Release inResponse to Glucose in L-type Ca²⁺ Channel β₃ Knockouts

The possible molecular mechanisms underlying the more pronounced insulinrelease in response to glucose in β₃ ^(−/−) mice were investigated.Cell-attached single-channel recordings were made to compare biophysicalproperties of the β-cell voltage-gated L-type Ca²⁺ channel in β₃ ^(−/−)mice with those in wild type mice. Ca²⁺ currents flowing through singleCa²⁺ channels recorded from a patch attached to a β-cell lacking the β₃subunit did not differ markedly from those obtained in a wild typeβ-cell. Single channel parameter analysis shows no striking differencein mean open time, open probability and availability between wild typeand β₃−/− mice. The data on single channel recordings indicate thatremoval of the β₃ subunit does not influence biophysical properties ofthe voltage-gated L-type Ca²⁺ channel in the β-cell.

The above results do not exclude the possibility that removal of the β₃subunit alters the number of L-type Ca²⁺ channels in the plasmamembrane. Therefore, perforated whole-cell recordings of the activity ofvoltage-gated L-type Ca²⁻ channels were performed (Hamill, O.P. et al.1981, Pflügers Arch. 391:85-100). There was no significant difference inCa²⁺ current density between β₃ ^(−/−) and wild type β-cells. Theseresults show that the β-cell lacking the β₃ subunit expresses a similarnumber of L-type Ca²⁺ channels in the plasma membrane as the wild typeβ-cell. Thus other β subunits can substitute for the β₃ subunit inmaintaining number and function of L-type Ca²⁺ channels in the β-cellplasma membrane. Moreover, the more pronounced insulin release inresponse to glucose in β₃ ^(−/−) mice cannot be explained by anincreased L-type Ca²⁺ channel activity.

Changes in [Ca²⁺]_(i) were next evaluated. Subsequent to stimulationwith high glucose, there was no difference in either amplitude or timecourse of the initial increase in [Ca²⁺]_(i) between β-cells from β₃^(−/−) and wild type mice. The changes in [Ca²⁺]_(i) subsequent to theinitial increase were categorized into three groups: slow oscillations(period of approximately 160 seconds), fast oscillations (period ofapproximately 10 seconds) and no oscillations. In wild type mice, 43recordings (43 islets) were made. Fast oscillations were observed in 19%and slow oscillations were observed in 35% of these islets. Theremaining 46% of the islets showed no oscillations. In β₃ ^(−/−) mice,71% of 42 recordings showed fast oscillations, 14% showed slowoscillations and the remaining 15% exhibited no oscillatory pattern. Thetotal increase in [Ca²⁺]_(i), measured as area under the curve, was notdifferent in islets from β₃ ^(−/−) and wild type mice. Thus, with regardto glucose-induced changes in [Ca²⁺]_(i), the only parameter differingbetween islets obtained from β₃ ^(−/−) and control mice was the numberof islets exhibiting high-frequency [Ca²⁺]_(i) oscillations.

In the pancreatic β-cell, [Ca²⁺]_(i) oscillations are dependent upon acomplex interplay between Ca²⁻- and K⁺-conductances of plasma membraneand ER channels (Berggren & Larsson 1994, Biochem. Soc. Transact.22:12-18; Roe et al. 1993, J. Biol. Chem. 268:9953-9956). The levels ofinositol 1,4,5-trisphosphate (InsP₃) increase subsequent to stimulationof the phospholipase C (PLC) system, resulting in mobilization of Ca²⁻from the ER. Treatment of β-cells with thapsigargin, an inhibitor of theendoplasmic reticulum (ER) Ca²⁺-ATPase, is known to transform [Ca²⁺]_(i)oscillations into a monophasic elevation in [Ca²⁺]_(i) (Roe et al. 1998,J. Biol. Chem. 273:10402-10410). Accordingly, 30 min preincubation ofislets from both wild type and β₃ ^(−/−) mice with 1 μM thapsigarginprevented glucose-induced oscillations in [Ca²⁺]_(i). Blocking theInsP₃-receptor with 2-aminoethoxydiphenyl borane (2-APB) transformed[Ca²⁺]_(i) oscillations from fast into slow in β-cells from β₃ ^(−/−)mice. Hence, oscillations in [Ca²⁺]_(i) in the β₃ ^(−/−) β-cell are alsodependent on Ca²⁺ flux through the InsP₃-sensitive ER Ca²⁺ store.

That insulin release in response to glucose in islets treated withthapsigargin was no different in control and β₃ ^(−/−) mice suggests adirect link between increased glucose-induced insulin secretion and thehigher frequency in [Ca²⁺]_(i) oscillatory pattern seen in islets fromβ₃ ^(−/−) mice. To further verify this notion, changes in [Ca²⁺]_(i) andinsulin exocytosis were measured simultaneously, applying a depolarizingpulse protocol mimicking an oscillatory versus a monophasic increase in[Ca²⁺]_(i).

Simultaneous measurements of [Ca²⁺]_(i) and changes in cell capacitance(C_(m)), the latter as a measure of insulin exocytosis, were made in asingle voltage-clamped β-cell before, during and after a 1 min membranedepolarisation from −70 mV to −40 mV. In a series of five experiments,the membrane depolarization to −40 mV increased [Ca²⁺]_(i) from a basalof 116∀21 nM to 575∀43 nM (P<0.01), which decayed to 133∀37 nM (P<0.01)upon returning to the holding potential of −70 mV. This elevation in[Ca^(2|)]_(i), while not being sufficient to evoke secretion by itself,transiently increased the exocytotic capacity of the β-cells and theamplitude of the capacitance increases elicited by voltage-clampdepolarizations to 0 mV rose by 71∀12% (P<0.05; n=5) over that seenprior to the 1 min depolarization to −40 mV. These increases in cellcapacitance were relatively small compared to those observed after aseries of voltage-clamp depolarizations, over a period of 1 min, to 0 mV(100 ms duration; 10 Hz). Under these conditions, [Ca²⁺]_(i) increasedfrom 138∀27 nM to 438∀47 nM (P<0.01), which decayed to 156∀39 nM(P<0.01) upon returning to the holding potential of −70 mV. Again, thiselevation in [Ca²⁺]_(i) was not associated with a change in cellcapacitance, but increased the exocytotic capacity of the β-cells by309∀27% (P<0.005; n=5) over that seen prior to the train ofdepolarizations. The changes in exocytotic capacity were not associatedwith a change in the integrated Ca²⁺ current in response to the 500 msdepolarizations to 0 mV.

The role of the InsP₃-releasable intracellular Ca²⁺-pool wasinvestigated in order to elucidate the molecular mechanisms underlyingthe enhanced [Ca²⁺]_(i) oscillation frequency in β₃ ^(−/−) β-cells. TheCa²⁺-pool was depleted either by omission of Ca²⁺ from outside of thecell or treatment of the cell with thapsigargin in the absence ofextracellular Ca²⁺, and the increase in [Ca²⁺]_(i) subsequent to theaddition of 2.5 mM extracellular Ca²⁺ was investigated.

Under these experimental conditions, the increase in [Ca²⁺]_(i) is inpart reflecting ER Ca²⁺ release due to a cooperative activation of InsP₃receptors by sequential binding of InsP₃ and Ca³⁺. The more pronounced[Ca²⁺]_(i) increase observed in islets from β₃ ^(−/−) mice compared towild type mice, irrespective of depletion protocol, reflect theexistence of more releasable Ca²⁺ in the InsP₃ sensitive pool in β-cellslacking the β₃ subunit. Application of 2 μM gadolinium did not affectthis increase in [Ca²⁺]_(i) suggesting that it is not accounted for bytraditional capacitative Ca²⁺ entry (Hoth, M. et al. 1993, J. Physiol.465:359-86).

Carbamylcholine (CCh)-induced activation of PLC produced a transientincrease in [Ca²⁺]_(i) in islets from both β₃ ^(−/−) and wild type mice.The peak in [Ca²⁺]_(i) increase was higher and the decline in [Ca²⁺]_(i)following the initial peak was faster in islets from β₃ ^(−/−) comparedto wild type mice. To clarify the dependency of this [Ca²⁺]_(i) peak onextracellular Ca²⁺, the effect of CCh was studied in islets incubated inCa²⁻-free medium. Under these conditions there was no significantdifference in CCh-induced elevations in [Ca²⁺]_(i).

To evaluate a possible difference between β-cells obtained from wildtype and β₃ ^(−/−) mice in handling of ER Ca²⁺([Ca²⁺]_(ER)), X-Rhod-5N,a low-affinity fluorescent Ca²⁺ dye, was used for measurements of[Ca²⁺]_(ER). Following stimulation with CCh there was a slower depletionof [Ca²⁺]_(ER) in β-cells obtained from β₃ ^(−/−)—compared to wild typemice. Hence, there is ample experimental support for the notion that theInsP₃-releasable intracellular Ca²⁺-pool is larger in β₃ ^(−/−) comparedto wild type β-cells.

It is known in the art that the β-cell exhibits InsP₃-mediated periodicincreases in [Ca²⁺]_(i) (Ämmälä, C. et al 1991, Nature 353:849-852) andthis mechanism is likely to be involved in the regulation of theglucose-induced oscillatory [Ca²⁺]_(i) responses. The β₃ subunit is nowdemonstrated to be associated with the InsP₃ receptor, negativelymodulating InsP₃-induced Ca²⁺ release. Removal of the β₃ subunit iscompatible with the observed larger InsP₃-releasable Ca²⁺-pool andenhanced [Ca²⁺]_(i) oscillation frequency. This may then constitute themolecular explanation to the increased glucose-induced insulin releasein the β₃ ^(−/−) mice.

We claim:
 1. A recombinant host cell, wherein the host cell has beentransfected with a recombinant expression vector comprising nucleic acidcontrol sequences operatively linked to an L-type Ca²⁺ channel β₃ gene,wherein the host cell does not possess functional (β₃ subunit-containingL-type Ca²⁺ channels.
 2. The recombinant host cell of claim 1 whereinthe host cell is a mammalian cell.
 3. A method for identifyinginhibitors of the L-type Ca²⁺ channel β₃ protein, comprising: a)providing the recombinant host cells of claim 1; b) contacting therecombinant host cells with a calcium indicator that emits detectablesignals in the presence of calcium; c) treating the host cells with oneor more test compounds, wherein the treating occurs before, simultaneouswith, or after the contacting of the host cells with the calciumindicator; d) stimulating the recombinant host cells with an amount ofATP that is effective to increase intracellular calcium concentration incontrol cells; and e) detecting signals from the calcium indicator inthe recombinant host cells, wherein a test compound-induced increase inthe signals from the calcium indicator in the recombinant host cellsindicates that the test compound is an inhibitor of the L-type Ca²⁺channel β₃ protein.
 4. The method of claim 3, wherein the method is usedto identify compounds for use in treating one or more disorders selectedfrom the group consisting of diabetes, insulin resistance, impairedinsulin secretion, and impaired glucose homeostasis
 5. The method ofclaim 3 wherein the recombinant host cells are mammalian cells
 6. Amethod for treating a subject with one or more disorders selected fromthe group consisting of diabetes, insulin resistance, impaired insulinsecretion, and impaired glucose homeostasis, comprising administering tothe subject one or more inhibitors of an L-type Ca²⁺ channel β₃ subunitto provide a benefit to the subject.
 7. The method of claim 6 whereinthe one or more inhibitors of the L-type Ca²⁺ channel β₃ subunit isidentified according to the method of claim
 3. 8. The method of claim 7wherein the one or more inhibitors of the L-type Ca²⁺ channel β₃ subunitcomprises a compound selected from the group consisting of an antibodyspecific for the L-type Ca²⁺ channel β₃ subunit; an antisenseoligonucleotide directed against the L-type Ca²⁺ channel β₃ subunitgene; and a small interfering RNA directed against the L-type Ca²⁺channel β₃ subunit gene.